Smith, Lisa

Smith, Lisa is an individual health care provider with primary practice located at 153 Cesar Chavez St Westside Community Health Services, Inc., W. St. Paul MN 55107-2226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Smith, Lisa can be contacted via phone (651) 602-7552.

Contact Information

Primary practice address
153 Cesar Chavez St Westside Community Health Services, Inc. W. St. Paul MN 55107-2226
Phone: (651) 602-7552
Fax: (651) 602-7580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 124016-0 Minnesota

Profile Details

NPI number 1023079423
LBN Legal business name Smith, Lisa
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023079423 NPPES
Minnesota Other NA9021019276 PREFERRED ONE
Minnesota Other 07-05977 PREFERRED ONE
Minnesota Other HP24171 PREFERRED ONE
Minnesota Other 110675 PREFERRED ONE
Minnesota Other 3F110NE PREFERRED ONE
Minnesota MEDICAID 021765400 PREFERRED ONE

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